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240862 01/07/15 � Coq . ' �'� '':'F� CITY OF CARMEL, INDIANA VENDOR: 343500 r ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $""***'579.22• CARMEL, INDIANA 46032 Po BOX 204683 CHECK NUMBER: 240862 9M,,oN�o, DALLAS TX 75320 CHECK DATE: 01/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0158659797 132.05 OTHER EXPENSES 651 5023990 0158659976 182.44 OTHER EXPENSES 2201 4239012 01586800005 264.73 SAFETY SUPPLIES ZEE INVOICE ZEE MEDICAL INC, PAGE 1 P.O. BOX 204683 DATE 12116/2014 DALLAS TX 75320 TIME 14:17:54 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158680005 Alt: I ! P.O.# BILL TO # M00486 SHIP TO# 000486 CARMEL STREET DEPT CARMEL STREET DEPT 3400 WEST 131ST STREET 3400 WEST 131ST STREET Westfield IN 46074 Westfield IN 46074 317-733-2001 317-733-2001 AMY LUNN PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 10.50 10,50 N _ 2219 1 DERMAFLEUR PACKETS, 25/BX 9.30 9.30 N 0740 1 BNDG-NON-LTX ELASTIC STRIP, 501BX 8.50 8.50 N 1420 1 IBUTAB 100/BX (ZEE) 17.85 17.85 N 1471 1 NAPROXEN SODIUM, 501BX (ZEE) 17.99 17.99 N 0203 1 CLEAN WIPES 501BX (ZEE) 7.40 7.40 N LOCATION# 1 LOCATION DESCRIPTION - MAINTENANCE SUBTOTAL: 71.54 0740 1 BNOG-NON-LTX ELASTIC STRIP, 501BX 8.50 8.50 N 0203 1 CLEAN WIPES 50/BX (ZEE) 7.40 7.40 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 7.40 7.40 N LOCATION# 2 LOCATION DESCRIPTION - MAIN BLD MENS SUBTOTAL: 23.30 1418 1 PAIN-AID 250/BX (ZEE) 30.60 30.60 N 1421 1 IBUTAB 2501BX (ZEE) 35.95 35.95 N 1487 1 DILOTAB II, 250/BX 36.95 35.95 N 1447 1 ANTACID, TRIAL 250/BX (ZEE) 26.50 26.50 N 1435 1 E.S. UN-ASPIRIN 100/BX (ZEE) 14.95 14.95 N 1471 1 NAPROXEN SODIUM, 50/BX (ZEE) 17.99 17.99 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 3 LOCATION DESCRIP110N - MAIN BREAKROOM SUBTOTAL: 169.89 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 12/16/2014 DALLAS TX 75320 TIME 14:17:54 877-275.4933 JOE WEBSTER ext509 091009/19 ORDER/INVOICE# 0158680005 Alt: 1 ! P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SAFETY: .00 FIRST AID: 264.73 NONTAXABLE: 264.73 TAXABLE: .00 SUBTOTAL: 264.73 TAX 1: .00 TAX 2: .00 TOTAL 264.73 SIGNATURE : DATE: ! / PRINT NAME: TITLE: ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/31/14 01586800005 $264.73 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF $ P.O. Box 204683 Dallas, TX 75320 $264.73 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 01586800005 I 42-390.121 $264.73 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except "W nesdayf ec 4 4 St��a �is�hetler Title Cost distribution ledger classification if claim paid motor vehicle highway fund am-now E� EL INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 11111/2014 DALLAS TX 75320 TIME 07:58:21 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659797 Alt: ! 1 P.O.# S14528 BILL TO # 016166 SHIP TO# 016166 CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY Indianapolis IN 46280 Indianapolis IN 46280 317-571-2634 317-571-2634 JEFF COOPER PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 1495 1 HISTENOL FORTE ll, 100/BX 23.80 23.80 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.50 4,50 N LOCATION# 1 LOCATION DESCRIPTION - COLLECTIONS SUBTOTAL: 28.30 1495 1 HISTENOL FORTE 11, I00/BX 23.80 23.80 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.50 4.50 N LOCATION# 2 LOCATION DESCRIPTION - CULLECTIONSMEN SUBTOTAL: 28.30 1486 1 DILOTAB II, 100/BX 18.35 18.35 N 1495 1 HISTENOL FORTE ll, 10018X 23.80 23.80 N 1420 1 IBUTAB 100/BX (ZEE) 17.85 17.85 N 0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX, 8.50 8.50 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION LAB SUBTOTAL: 75.45 " SAFETY: .00 FIRST AID: 132.05 NONTAXABLE: 132.05 TAXABLE: .00 SUBTOTAL: 132.05 TAX 1: .00 TAX 2: .00 TOTAL 132.05 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 11111/2014 DALLAS TX 75320 TIME 07:58:21 877-275-4933 JOE WEBSTER ext509 09!009119 ORDERIINVOICE# 0158659797 Alt: 1 I P.O.# S14528 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SIGNATURE DATE: f ! PRINT NAME: TITLE: ASK US ABOUT FIRST AID AND AEO PROGRAMS THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES ZEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 12/11/2014 DALLAS TX 75320 TIME 11:05:09 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158659976 Alt: 1 1 P.O.#S�q&3q BILL TO # 016166 SHIP TO# 016166 CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY Indianapolis IN 46280 Indianapolis IN 46280 317-571-2634 317-571-2634 JEFF COOPER PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- -- 1420 1 IBUTAB 100/BX (ZEE) 17.85 17.65 N 1471 1 NAPROXEN SODIUM, 50/BX (ZEE) 17.99 17.99 N 0740 2 BNDG-NON-LTX ELASTIC STRIP, 50/BX 8.50 17.00 N 1801 1 3-ANTIBIOTIC DINT 0.9 GM 25/BX (ZEE) 10.50 10.50 N 1457 2 ANTI-DIARRHEAL CAPLETS,2mg,12CT(ZEE) 7.75 15.50 "N 1451 1 PEPT-EEZ 42/BX (ZEE) 13.15 13.15 N LOCATION# 1 LOCATION OESCRIPtION - COLLECI OFFICE SUBTOTAL: 91.99 1486 1 OILOTAB II, 100/BX 18.35 18.35 N 1495 1 HISTENOL FORTE II, 100/BX 23.80 23.80 N 1468 1 SORE THROAT LZNGS CHERRY 18/BX (ZEE) 9.60 9.60 "N 0618 1 EYE DROPS - THERA TEARS 4/PK 6.05 6.05 N 0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 8.50 8.50 N LOCATION# 2 LOCATION DESCRIPTION - LAB SUBTOTAL: 66.30 2331 1 EMERGENCY FIRST AID POCKET GUIDE 5.95 5.95 N 0740 1 BNOG-NON-LTX ELASTIC STRIP, 50/BX 6.50 8.50 N 3538 1 DISPOSABLE FORCEP, STERILE 2.75 2.75 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION - MAINTENANCE SUBTOTAL: 24.15 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 12/11/2014 DALLAS TX 75320 TIME 11:05:09 877-275-4933 JOE WEBSTER ext509 09/009119 ORDER/INVOICE# 0158659976 Alt: / 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SAFETY: 25.10 FIRST AID: 157.34 NONTAXABLE: 182.44 TAXABLE: .00 SUBTOTAL: 182.44 TAX 1: .00 TAX 2: .00 TOTAL 182.44 SIGNATURE DATE: 1 / PRINT NAME: TITLE: ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 343500 ZEE MEDICAL INC Purchase Order No. P.O. BOX 204683 Terms DALLAS, TX 75320 Due Date 12/16/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/16/201, 0158659976 $182.44 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer VOUCHER # 146270 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL INC P.O. BOX 204683 DALLAS, TX 75320 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0158659976 01-7200-01 $182.44 -0fS86S"9-7 /39.os 1 31y,41 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund